Outcomes of Urinary Incontinence Treatment in Primary Care: APP Co-Management and Electronic Consult
Enrolling by invitation · Not applicable
Conditions studied: Urinary Incontinence
In brief
The burden of urinary incontinence (UI) on American women is immense in both human and financial terms, and continues to rise with the aging US population. Although numerous non-surgical management strategies have proven efficacy for both stress and urge urinary incontinence, there remains a lack of appropriate UI management in the primary care setting. The goal of this multi-site cluster randomized comparative effectiveness trial is to compare the effects of two methods of nonsurgical UI care delivery - electronic consult vs. advanced practice provider (APP) co-management. These two evidence-based, practice-changing strategies are designed to improve the quality of care for an ethnically diverse population of women with UI, and, by reducing deficits in care, obtain better patient-reported outcomes. Both arms of the study will include basic physician education (academic detailing) and electronic clinical decision support. In Arm 1, the investigators will implement an electronic referral system (electronic referral), in which specialists will electronically review referrals and make additional recommendations if appropriate primary UI care was not provided. In Arm 2, Advanced Practice Provider (APP) co-management will reduce the burden of care on the PCPs by providing UI care, patient education, and assisting with patient self-management through dedicated televisits (APP co-management).
Key facts
- Study ID
- NCT06040645
- Run by
- University of California, San Diego
- People needed
- 1200
- Starts
- 2024-02-16
- Expected to finish
- 2029-11-08
- Last updated by the study team
- 2026-03-13
Who can join
Age: 18 and older. Sex: female. Healthy volunteers: accepted.
Where it is running
- University of California Los Angeles — Los Angeles, California, United States
- University of California San Diego — San Diego, California, United States
- University of Kansas — Lawrence, Kansas, United States
Full record on ClinicalTrials.gov
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